自拟汤药坐浴在肛瘘患者中的疗效观察及对预后的影响研究

Observation on the therapeutic effect of self formulated decoction sitz bath in patients with anal fistula and its impact on prognosis

目的探讨自拟汤药坐浴对于肛瘘患者的治疗效果和对预后的影响。方法受试者为2021年10月-2023年10月期间前来江苏省溧阳市中医医院治疗肛瘘的患者,40例患者根据治疗时间分为两组,分别为治疗前(2021年10月-2022年9月)和治疗后(2022年10月-2023年10月)。治疗前,患者未采取治疗方案;治疗时给予患者自拟汤药坐浴。将治疗前后患者的治疗结果、临床症状消失时间和炎症因子水平进行对比。结果治疗后,治疗有效率为95%,高于治疗前(P<0.05),有统计学意义;治疗后,患者疼痛、便血、肛缘水肿症状消失时间短于治疗前,且创口愈合时间和住院时间短于治疗前(P<0.05),有统计学意义;治疗后,患者炎症因子水平低于治疗前(P<0.05),有统计学意义。结论自拟汤药坐浴在肛瘘患者中治疗中的效果显著,其可有效缩短患者疼痛时间和肛缘水肿时间,减轻炎症反应,促进患者恢复。

Objective Exploring the therapeutic efficacy and prognostic effects of sitz baths with self-prepared tonics in patients with anal fistulae.Methods The subjects were patients who came to our hospital for treatment of anal fistula from October 2021 to October 2023.40 patients were divided into two groups based on treatment time,namely before treatment(October 2021 to September 2022)and after treatment(October 2022 to October 2023).Before treatment,the patient did not adopt a treatment plan;after treatment,give the patient a self formulated decoction and sitz bath.Compare the treatment outcomes of patients before and after treatment,as well as the time for clinical symptom disappearance and levels of inflammatory factors after treatment.Results After treatment,the effective rate of treatment was 95%,higher than before treatment(P<0.05),with statistical significance;after treatment,the disappearance time of symptoms such as pain,rectal bleeding,and anal edema in patients was shorter than before treatment,and the wound healing time and hospitalization time were shorter than before treatment(P<0.05),with statistical significance;after treatment,the levels of inflammatory factors in patients were lower than before treatment(P<0.05),with statistical significance.Conclusion Effectiveness of self-proposed tonic sitz bath in the treatment of anal fistula patients,which can effectively shorten the time of pain and anal margin oedema in patients,it is effective in reducing the inflammatory response and promoting the patient’s recovery.